Organization
SOUL CARE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CLEVERDON M.S., LCMFT (CEO)
(913) 515-6919
Entity
Organization
Contact information
Practice address
6824 LACKMAN RD, SHAWNEE, KS 66217-9595
(913) 515-6919
Mailing address
12165 PARALLEL AVE, KANSAS CITY, KS 66109-4536
(913) 515-6919
(913) 721-2154
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314
LCMFT
KS
Enumeration date
05/14/2007
Last updated
08/22/2020
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